Clinic
Southwest Virginia Community Health Systems Incorporated
Southwest Virginia Community Health Systems Incorporated was paid $3.18M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INCORPORATED
SALTVILLE, VA 24370
SALTVILLE, VA 24370
33aNPI1811967169assigned 01/26/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.18M
24GClaims93,563
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#16 of 145
Median peer was paid$338K
This provider vs. median9.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,189 | $263K | |
| 2019 | 12,441 | $421K | |
| 2020 | 12,664 | $419K | |
| 2021 | 15,742 | $513K | |
| 2022 | 15,155 | $640K | |
| 2023 | 17,686 | $573K | |
| 2024incomplete | 13,686 | $350K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 22,230 | 15,805 | $1.27M |
| G9012 | Other specified case management service not elsewhere classified | 18% | 2,910 | 2,598 | $565K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.7% | 3,922 | 3,650 | $278K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 3,178 | 2,858 | $138K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 2,061 | 1,282 | $132K |
| D0330 | Panoramic radiographic image | 3.0% | 2,620 | 2,591 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 1,729 | 687 | $90K |
| 80305 | 2.7% | 7,822 | 3,479 | $86K | |
| D1110 | Prophylaxis - adult | 2.2% | 2,610 | 2,575 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 2,707 | 2,675 | $47K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.2% | 1,694 | 1,226 | $37K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.0% | 4,792 | 1,914 | $32K |
55 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 1,818 | $30K |
| G0467 | Community health center visit, returning patient | <1% | 1,469 | $28K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 440 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 368 | $20K |
| D0120 | Dental checkup, returning patient | <1% | 1,360 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,908 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 973 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,083 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,043 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 852 | $12K |
| 87428 | <1% | 404 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 931 | $12K |
| D1120 | Dental cleaning, child | <1% | 295 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 214 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 114 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 92 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,129 | $7K |
| 99000 | <1% | 6,354 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,148 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 195 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 677 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $4K |
| 87430 | <1% | 337 | $4K | |
| 99072 | <1% | 1,911 | $4K | |
| 92587 | <1% | 346 | $4K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 28 | $4K |
| 99177 | <1% | 681 | $3K | |
| 3078F | <1% | 1,744 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $3K |
| 90686 | <1% | 211 | $3K | |
| 3074F | <1% | 2,429 | $3K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 107 | $2K |
| 90756 | <1% | 142 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 92551 | <1% | 174 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 104 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 325 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 90656 | <1% | 76 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | $979.14 |
| 87807 | <1% | 70 | $890.80 | |
| 99443 | <1% | 16 | $882.84 | |
| 99442 | <1% | 15 | $700.64 | |
| 99174 | <1% | 173 | $700.47 | |
| D9995 | <1% | 12 | $420.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 47 | $290.68 |
| 0001A | <1% | 16 | $220.22 | |
| 87400 | <1% | 15 | $65.52 | |
| 3079F | <1% | 740 | $50.00 | |
| 90785 | <1% | 98 | $36.00 | |
| 99173 | <1% | 14 | $32.11 | |
| 36416 | <1% | 106 | $3.03 | |
| 3077F | 0% | 86 | $0.00 | |
| 3075F | 0% | 71 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHAYNES, JOSEPH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southwest Virginia Community Health Systems INC | Saltville, VA | $1.50M |
| Southwest Virginia Community Health Systems INC | Bristol, VA | $1.11M |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $871K |
| Southwest Virginia Community Health Systems INC. | Meadowview, VA | $665K |
| Southwest Virginia Community Health Systems INC | Tazewell, VA | $633K |
| Southwest Virginia Community Health Systems INC | Saltville, VA | $74K |
| Southwest Virginia Community Health Systems INC | Marion, VA | $22K |
| Southwest Virginia Community Health Systems INC. | Chilhowie, VA | $12K |
| Southwest Virginia Community Health Systems INC | Bristol, VA | $5K |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.